| Love Is Outreach Program | |
|
1901 Smokey Mountain Trl Mesquite TX 75149-4861 | |
| (469) 831-6486 | |
| Not Available |
| Full Name | Love Is Outreach Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1901 Smokey Mountain Trl, Mesquite, Texas |
| Authorized Official Name and Position | Marquesia Carlisle (FOUNDER, CEI) |
| Authorized Official Contact | 4698316486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Is Outreach Program 1901 Smokey Mountain Trl Mesquite TX 75149-4861 Ph: (469) 831-6486 | Love Is Outreach Program 1901 Smokey Mountain Trl Mesquite TX 75149-4861 Ph: (469) 831-6486 |
| NPI Number | 1336866466 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336866466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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